Provider Demographics
NPI:1780843813
Name:DUNCAN, SARAH E (AUD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 YALE BLVD SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4383
Mailing Address - Country:US
Mailing Address - Phone:505-994-7731
Mailing Address - Fax:
Practice Address - Street 1:1700 LOMAS BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-1003
Practice Address - Country:US
Practice Address - Phone:505-277-4453
Practice Address - Fax:505-277-0968
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005030690231H00000X
NMAUD5775231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO337371504Medicaid